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Moving Faster than the COVID-19 Pandemic: The Rapid, Digital Transformation of a Public Health SystemFunding None.
Background Queensland, Australia has been successful in containing the COVID-19 pandemic. Underpinning that response has been a highly effective virus containment strategy which relies on identification, isolation, and contact tracing of cases. The dramatic emergence of the COVID-19 pandemic rendered traditional paper-based systems for managing contact tracing no longer fit for purpose. A rapid digital transformation of the public health contact tracing system occurred to support this effort.
Objectives The objectives of the digital transformation were to shift legacy systems (paper or standalone electronic systems) to a digitally enabled public health system, where data are centered around the consumer rather than isolated databases. The objective of this paper is to outline this case study and detail the lessons learnt to inform and give confidence to others contemplating digitization of public health systems in response to the COVID-19 pandemic.
Methods This case study is set in Queensland, Australia. Universal health care is available. A multidisciplinary team was established consisting of clinical informaticians, developers, data strategists, and health information managers. An agile “pair-programming” approach was undertaken to application development and extensive change efforts were made to maximize adoption of the new digital workflows. Data governance and flows were changed to support rapid management of the pandemic.
Results The digital coronavirus application (DCOVA) is a web-based application that securely captures information about people required to quarantine and creates a multiagency secure database to support a successful containment strategy.
Conclusion Most of the literature surrounding digital transformation allows time for significant consultation, which was simply not possible under crisis conditions. Our observation is that staff was willing to adopt new digital systems because the reason for change (the COVID-19 pandemic) was clearly pressing. This case study highlights just how critical a unified purpose, is to successful, rapid digital transformation.
Keywordspublic health - electronic health records and systems - clinical information systems - emergency and disaster care - biosurveillance and case reporting
Protection of Human and Animal Subjects
No human subjects were directly involved in this project.
Received: 21 November 2020
Accepted: 22 January 2021
24 March 2021 (online)
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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- 1 Cave D. Vanquish the virus? Australia and New Zealand aim to show the way. 2020 Accessed September 19, 2020 at: https://www.nytimes.com/2020/04/24/world/australia/new-zealand-coronavirus.html
- 2 Gan N. How did australia flatten its coronavirus curve? Restrictions easing as infection rate continues to fall. 2020 ; Fall. CNN, May 1. Accessed September 19, 2020 at: https://www.cnn.com/2020/05/01/asia/australia-coronavirus-success-intl-hnk/index.html
- 3 Bakken S. Informatics is a critical strategy in combating the COVID-19 pandemic. J Am Med Inform Assoc 2020; 27 (06) 843-844
- 4 Grange ES, Neil EJ, Stoffel M. et al. Responding to COVID-19: the UW Medicine Information Technology Services Experience. Appl Clin Inform 2020; 11 (02) 265-275
- 5 Arvisais-Anhalt S, Lehmann CU, Park JY. et al. What the COVID-19 pandemic has reinforced: the need for accurate data. Clin Infect Dis 2020; ciaa1686
- 6 Altman RL, Anstett T, Simpson JR, Del Pino-Jones A, Lin CT, Pell J. Ambulatory Clinician's Guide to inpatient service: an innovative rapid onboarding strategy for the COVID-19 pandemic. Appl Clin Inform 2020; 11 (05) 802-806
- 7 Hron JD, Parsons CR, Williams LA, Harper MB, Bourgeois FC. Rapid implementation of an inpatient telehealth program during the COVID-19 pandemic. Appl Clin Inform 2020; 11 (03) 452-459
- 8 Medford RJ, Saleh SN, Sumarsono A, Perl TM, Lehmann CU. An “infodemic”: leveraging high-volume twitter data to understand early public sentiment for the coronavirus disease 2019 outbreak. Open Forum Infect Dis 2020; 7 (07) a258
- 9 Office QGSs, Office. 2020 Queensland population counter 2020. Accessed September 19, 2020 at: https://www.qgso.qld.gov.au/statistics/theme/population/population-estimates/state-territories/qld-population-counter
- 10 Hannay J. The effectiveness of pair programming: a meta-analysis. Inf Softw Technol 2009; 51 (07) 1110-1122
- 11 Sullivan C, Staib A, Ayre S. et al. Pioneering digital disruption: Australia's first integrated digital tertiary hospital. Med J Aust 2016; 205 (09) 386-389
- 12 Google, COVID19 transmission patterns. 2020 Accessed December 22, 2020 at: https://news.google.com/covid19/map?hl=en-AU&mid=%2Fm%2F0g39h&gl=AU&ceid=AU%3Aen
- 13 UNESCO. How countries responded to COVID. 2020 Accessed November 14, 2020 at: https://en.unesco.org/covid19
- 14 Mandl KD, Kohane IS. Tectonic shifts in the health information economy. N Engl J Med 2008; 358 (16) 1732-1737
- 15 Everson J, Patel V, Adler-Milstein J. Information blocking remains prevalent at the start of 21 century cures: results from a survey of health information exchange organizations. J Am Med Inform Assoc 2021; ocaa323
- 16 Kozlakidis Z, Abduljawad J, Al Khathaami AM, Schaper L, Stelling J. Global health and data-driven policies for emergency responses to infectious disease outbreaks. Lancet Glob Health 2020; 8 (11) e1361-e1363
- 17 Sullivan C, Staib A, McNeil K, Rosengren D, Johnson I. Queensland Digital Health Clinical Charter: a clinical consensus statement on priorities for digital health in hospitals. Aust Health Rev 2020; 44 (05) 661-665
- 18 Sullivan C, Staib A. Digital disruption ‘syndromes’ in a hospital: important considerations for the quality and safety of patient care during rapid digital transformation. Aust Health Rev 2017; (42) 294-298
- 19 Subbian V, Solomonides A, Clarkson M. et al. Ethics and informatics in the age of COVID-19: challenges and recommendations for public health organization and public policy. J Am Med Inform Assoc 2020
- 20 Reeves JJ, Hollandsworth HM, Torriani FJ. et al. Rapid response to COVID-19: health informatics support for outbreak management in an academic health system. J Am Med Inform Assoc 2020; 27 (06) 853-859